Transcript Figure 13.5a

13
PART A
The Respiratory
System
PowerPoint® Lecture Slide Presentation by Jerry L. Cook, Sam Houston University
ESSENTIALS
OF HUMAN
ANATOMY
& PHYSIOLOGY
EIGHTH EDITION
ELAINE N. MARIEB
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Organs of the Respiratory system
 Nose
 Pharynx
 Larynx
 Trachea
 Bronchi
 Lungs –
alveoli
Figure 13.1
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Function of the Respiratory System
 Oversees gas exchanges between the blood
and external environment
 Exchange of gasses takes place within the
lungs in the alveoli
 Passageways to the lungs purify, warm, and
humidify the incoming air
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The Nose
 The only externally visible part of the
respiratory system
 Air enters the nose through the external nares
(nostrils)
 The interior of the nose consists of a nasal
cavity divided by a nasal septum
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Upper Respiratory Tract
Figure 13.2
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Anatomy of the Nasal Cavity
 Olfactory receptors are located in the mucosa
on the superior surface
 The rest of the cavity is lined with respiratory
mucosa
 Moistens air
 Traps incoming foreign particles
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Anatomy of the Nasal Cavity
 Lateral walls have projections called conchae
 Increases surface area
 Increases air turbulence within the nasal
cavity
 The nasal cavity is separated from the oral
cavity by the palate
 Anterior hard palate (bone)
 Posterior soft palate (muscle)
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Paranasal Sinuses
 Cavities within bones surrounding the nasal
cavity
 Frontal bone
 Sphenoid bone
 Ethmoid bone
 Maxillary bone
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Paranasal Sinuses
 Function of the sinuses
 Lighten the skull
 Act as resonance chambers for speech
 Produce mucus that drains into the nasal
cavity
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Pharynx (Throat)
 Muscular passage from nasal cavity to larynx
 Three regions of the pharynx
 Nasopharynx – superior region behind
nasal cavity
 Oropharynx – middle region behind mouth
 Laryngopharynx – inferior region attached
to larynx
 The oropharynx and laryngopharynx are
common passageways for air and food
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Structures of the Pharynx
 Auditory tubes enter the nasopharynx
 Tonsils of the pharynx
 Pharyngeal tonsil (adenoids) in the
nasopharynx
 Palatine tonsils in the oropharynx
 Lingual tonsils at the base of the tongue
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Larynx (Voice Box)
 Routes air and food into proper channels
 Plays a role in speech
 Made of eight rigid hyaline cartilages and a
spoon-shaped flap of elastic cartilage
(epiglottis)
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Structures of the Larynx
 Thyroid cartilage
 Largest hyaline cartilage
 Protrudes anteriorly (Adam’s apple)
 Epiglottis
 Superior opening of the larynx
 Routes food to the larynx and air toward
the trachea
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Structures of the Larynx
 Vocal cords (vocal folds)
 Vibrate with expelled air to create sound
(speech)
 Glottis – opening between vocal cords
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Trachea (Windpipe)
 Connects larynx with bronchi
 Lined with ciliated mucosa
 Beat continuously in the opposite direction
of incoming air
 Expel mucus loaded with dust and other
debris away from lungs
 Walls are reinforced with C-shaped hyaline
cartilage
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Primary Bronchi
 Formed by division of the trachea
 Enters the lung at the hilus
(medial depression)
 Right bronchus is wider, shorter,
and straighter than left
 Bronchi subdivide into smaller
and smaller branches
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Lungs
 Occupy most of the thoracic cavity
 Apex is near the clavicle (superior portion)
 Base rests on the diaphragm (inferior
portion)
 Each lung is divided into lobes by fissures
 Left lung – two lobes
 Right lung – three lobes
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Lungs
Figure 13.4b
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Coverings of the Lungs
 Pulmonary (visceral) pleura covers the lung
surface
 Parietal pleura lines the walls of the thoracic
cavity
 Pleural fluid fills the area between layers of
pleura to allow gliding
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Respiratory Tree Divisions
 Primary bronchi
 Secondary bronchi
 Tertiary bronchi
 Bronchioli
 Terminal bronchioli
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Bronchioles
 Smallest
branches of
the bronchi
Figure 13.5a
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Bronchioles
 All but the
smallest
branches
have
reinforcing
cartilage
Figure 13.5a
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Bronchioles
 Terminal
bronchioles
end in alveoli
Figure 13.5a
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Respiratory Zone
 Structures
 Respiratory bronchioli
 Alveolar duct
 Alveoli
 Site of gas exchange
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Alveoli
 Structure of alveoli
 Alveolar duct
 Alveolar sac
 Alveolus
 Gas exchange takes place within the alveoli
in the respiratory membrane
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Respiratory Membrane (Air-Blood Barrier)
 Thin squamous epithelial layer lining alveolar
walls
 Pulmonary capillaries cover external surfaces
of alveoli
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Respiratory Membrane (Air-Blood Barrier)
Figure 13.6
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Gas Exchange
 Gas crosses the respiratory membrane by
diffusion
 Oxygen enters the blood
 Carbon dioxide enters the alveoli
 Macrophages add protection
 Surfactant coats gas-exposed alveolar
surfaces
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Events of Respiration
 Pulmonary ventilation – moving air in and out
of the lungs
 External respiration – gas exchange between
pulmonary blood and alveoli
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Events of Respiration
 Respiratory gas transport – transport of
oxygen and carbon dioxide via the
bloodstream
 Internal respiration – gas exchange between
blood and tissue cells in systemic capillaries
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Mechanics of Breathing (Pulmonary
Ventilation)
 Completely mechanical process
 Depends on volume changes in the thoracic
cavity
 Volume changes lead to pressure changes,
which lead to the flow of gases to equalize
pressure
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Mechanics of Breathing (Pulmonary
Ventilation)
 Two phases
 Inspiration – flow of air into lung
 Expiration – air leaving lung
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Inspiration
 Diaphragm and intercostal muscles contract
 The size of the thoracic cavity increases
 External air is pulled into the lungs due to an
increase in intrapulmonary volume
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Inspiration
Figure 13.7a
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Expiration
 Largely a passive process which depends on
natural lung elasticity
 As muscles relax, air is pushed out of the
lungs
 Forced expiration can occur mostly by
contracting internal intercostal muscles to
depress the rib cage
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Expiration
Figure 13.7b
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Pressure Differences in the Thoracic
Cavity
 Normal pressure within the pleural space is
always negative (intrapleural pressure)
 Differences in lung and pleural space
pressures keep lungs from collapsing
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Nonrespiratory Air Movements
 Can be caused by reflexes or voluntary
actions
 Examples
 Cough and sneeze – clears lungs of debris
 Laughing
 Crying
 Yawn
 Hiccup
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Respiratory Sounds
 Sounds are monitored with a stethoscope
 Bronchial sounds – produced by air rushing
through trachea and bronchi
 Vesicular breathing sounds – soft sounds of
air filling alveoli
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External Respiration
 Oxygen movement into the blood
 The alveoli always has more oxygen than
the blood
 Oxygen moves by diffusion towards the
area of lower concentration
 Pulmonary capillary blood gains oxygen
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External Respiration
 Carbon dioxide movement out of the blood
 Blood returning from tissues has higher
concentrations of carbon dioxide than air
in the alveoli
 Pulmonary capillary blood gives up carbon
dioxide
 Blood leaving the lungs is oxygen-rich and
carbon dioxide-poor
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Gas Transport in the Blood
 Oxygen transport in the blood
 Inside red blood cells attached to
hemoglobin (oxyhemoglobin [HbO2])
 A small amount is carried dissolved in the
plasma
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Gas Transport in the Blood
 Carbon dioxide transport in the blood
 Most is transported in the plasma as
bicarbonate ion (HCO3–)
 A small amount is carried inside red blood
cells on hemoglobin, but at different
binding sites than those of oxygen
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Internal Respiration
 Exchange of gases between blood and body
cells
 An opposite reaction to what occurs in the
lungs
 Carbon dioxide diffuses out of tissue to
blood
 Oxygen diffuses from blood into tissue
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Internal Respiration
Figure 13.11
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External Respiration, Gas Transport, and
Internal Respiration Summary
Figure 13.10
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Neural Regulation of Respiration
 Activity of respiratory muscles is transmitted to the
brain by the phrenic and intercostal nerves
 Neural centers that control rate and depth are located
in the medulla
 The pons appears to smooth out respiratory rate
 Normal respiratory rate (eupnea) is 12–15
respirations per minute
 Hypernia is increased respiratory rate often due to
extra oxygen needs
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Neural Regulation of Respiration
Figure 13.12
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Factors Influencing Respiratory Rate and
Depth
 Physical factors
 Increased body temperature
 Exercise
 Talking
 Coughing
 Volition (conscious control)
 Emotional factors
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Factors Influencing Respiratory Rate and
Depth
 Chemical factors
 Carbon dioxide levels
 Level of carbon dioxide in the blood is the
main regulatory chemical for respiration
 Increased carbon dioxide increases
respiration
 Changes in carbon dioxide act directly on the
medulla oblongata
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Factors Influencing Respiratory Rate and
Depth
 Chemical factors (continued)
 Oxygen levels
 Changes in oxygen concentration in the
blood are detected by chemoreceptors in the
aorta and carotid artery
 Information is sent to the medulla oblongata
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Respiratory Disorders: Chronic
Obstructive Pulmonary Disease (COPD)
 Exemplified by chronic bronchitis and
emphysema
 Major causes of death and disability in the
United States
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Respiratory Disorders: Chronic
Obstructive Pulmonary Disease (COPD)
 Features of these diseases
 Patients almost always have a history of
smoking
 Labored breathing (dyspnea) becomes
progressively more severe
 Coughing and frequent pulmonary
infections are common
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Respiratory Disorders: Chronic
Obstructive Pulmonary Disease (COPD)
 Features of these diseases (continued)
 Most victimes retain carbon dioxide, are
hypoxic and have respiratory acidosis
 Those infected will ultimately develop
respiratory failure
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Emphysema
 Alveoli enlarge as adjacent chambers break through
 Chronic inflammation promotes lung fibrosis
 Airways collapse during expiration
 Patients use a large amount of energy to exhale
 Overinflation of the lungs leads to a permanently
expanded barrel chest
 Cyanosis appears late in the disease
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Chronic Bronchitis
 Mucosa of the lower respiratory passages
becomes severely inflamed
 Mucus production increases
 Pooled mucus impairs ventilation and gas
exchange
 Risk of lung infection increases
 Pneumonia is common
 Hypoxia and cyanosis occur early
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Chronic Obstructive Pulmonary Disease
(COPD)
Figure 13.13
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Lung Cancer
 Accounts for 1/3 of all cancer deaths in the
United States
 Increased incidence associated with smoking
 Three common types
 Squamous cell carcinoma
 Adenocarcinoma
 Small cell carcinoma
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Sudden Infant Death syndrome (SIDS)
 Apparently healthy infant stops breathing and
dies during sleep
 Some cases are thought to be a problem of the
neural respiratory control center
 One third of cases appear to be due to heart
rhythm abnormalities
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Asthma
 Chronic inflamed hypersensitive bronchiole
passages
 Response to irritants with dyspnea, coughing,
and wheezing
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Developmental Aspects of the
Respiratory System
 Lungs are filled with fluid in the fetus
 Lungs are not fully inflated with air until two
weeks after birth
 Surfactant that lowers alveolar surface
tension is not present until late in fetal
development and may not be present in
premature babies
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Developmental Aspects of the
Respiratory System
 Important birth defects
 Cystic fibrosis – oversecretion of thick
mucus clogs the respiratory system
 Cleft palate
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Aging Effects
 Elasticity of lungs decreases
 Vital capacity decreases
 Blood oxygen levels decrease
 Stimulating effects of carbon dioxide
decreases
 More risks of respiratory tract infection
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Respiratory Rate Changes Throughout
Life
 Newborns – 40 to 80 respirations per minute
 Infants – 30 respirations per minute
 Age 5 – 25 respirations per minute
 Adults – 12 to 18 respirations per minute
 Rate often increases somewhat with old age
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